Brand Name | UNKNOWN DEPUY HIP |
Type of Device | TOTAL HIP REPLACEMENT |
Baseline Device 510(K) Number | |
Baseline Device PMA Number | |
Manufacturer (Section F) |
DEPUY ORTHOPAEDICS, INC. |
700 orthopaedic dr. |
warsaw IN 46581 0988 |
|
Manufacturer (Section D) |
DEPUY ORTHOPAEDICS, INC. |
700 orthopaedic dr. |
warsaw IN 46581 0988 |
|
Manufacturer (Section G) |
DEPUY ORTHOPAEDICS, INC. |
700 orthopaedics drive |
|
warsaw IN 46581 0988 |
|
Manufacturer Contact |
hans
kusserow, mgr.
|
700 orthopaedic drive |
warsaw
, IN 46581-0988 |
(574)
372
-7416
|
|
Device Event Key | 514071 |
MDR Report Key | 524943 |
Event Key | 498230 |
Report Number | 1818910-2004-00370 |
Device Sequence Number | 1 |
Product Code | JDI |
Report Source |
Manufacturer
|
Source Type |
Other
|
Reporter Occupation |
ATTORNEY
|
Remedial Action |
Other
|
Type of Report
| Initial |
Report Date |
05/13/2004 |
1 Device Was Involved in the Event | |
1 Patient Was Involved in the Event | |
Date FDA Received | 05/14/2004 |
Is This An Adverse Event Report? |
Yes
|
Is This A Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Was Device Available For Evaluation? |
No
|
Is The Reporter A Health Professional? |
No
|
Was the Report Sent to FDA? |
No
|
Distributor Facility Aware Date | 05/13/2004 |
Device Age | unknown |
Event Location |
Hospital
|
Date Manufacturer Received | 05/13/2004 |
Was Device Evaluated By Manufacturer? |
Device Not Returned To Manufacturer
|
Is The Device Single Use? |
Yes
|
Is this a Reprocessed and Reused Single-Use Device? |
No
|
Is the Device an Implant? |
Yes
|
Is this an Explanted Device? |
Unknown
|
Type of Device Usage |
Initial
|
|
|